1. Home
  2. Directory
  3. California
  4. Antioch
  5. Physician Assistant
  6. NPI Profile

AMANULLAH ZADRAN
NPI 1720848294
Physician Assistant - Surgical in Antioch, CA

Active since March 20, 2024PECOS Enrolled
5173 LONE TREE WAY, ANTIOCH, CA 94531(925) 685-4224(925) 685-6997 Get Directions Write a Review

NPPES record last updated: April 17, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Amanullah Zadran NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

AMANULLAH ZADRAN (NPI 1720848294) is an individual surgical provider in Antioch, California and active in the NPI registry since March 2024. He is enrolled in Medicare PECOS and is a graduate of Other (2024).

NPPES Registry Identity

NPI1720848294
Entity TypeIndividualMale
Primary Taxonomy363AS0400X
Provider Legal NameAMANULLAH ZADRAN
Location Address5173 LONE TREE WAYAntioch, CA 94531-8689
Mailing Address4501 Sand Creek RdAntioch, CA 94531-8687
Phone(925) 685-4224
Fax(925) 685-6997
Sole ProprietorNo
Medical School CMSOtherGraduated 2024
Enumeration DateMarch 20, 2024
Last NPPES UpdateApril 17, 2025
NPPES CertifiedApril 17, 2025
✔ NPI 1720848294 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyPhysician Assistant · SurgicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AS0400X
Also ListedPhysician AssistantTaxonomy 363A00000X
Also ListedPhysician Assistant · MedicalTaxonomy 363AM0700X
5173 LONE TREE WAY, Antioch, CA 94531
Open in Google Maps ↗

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Amanullah Zadran is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID6507368032
PECOS Enrollment IDI20250904004265
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

CONTRA COSTA PEDIATRICS
Clinic/Center (Primary Care)
5173 LONE TREE WAY
ANTIOCH, CA 94531
Contra Costa County (415) 260-6495
SANDI DE GUZMAN FNP
Nurse Practitioner (Family)
5173 LONE TREE WAY
ANTIOCH, CA 94531
Contra Costa County (925) 685-4224

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Amanullah Zadran's NPI number?

The NPI number for Amanullah Zadran is 1720848294. It was assigned to this individual provider in the NPPES registry on March 20, 2024.

Where is Amanullah Zadran located?

Amanullah Zadran practices at 5173 Lone Tree Way, Antioch, CA 94531. The listed phone number is (925) 685-4224.

What is Amanullah Zadran's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Surgical, with taxonomy code 363AS0400X.

Is Amanullah Zadran enrolled in Medicare?

Yes. Amanullah Zadran is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Amanullah Zadran was last updated on April 17, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.